The nurse is caring for a client who was admitted for a closed femur fracture. Which of the following signs and symptoms would alert the nurse that the client is experiencing compartment syndrome?
Intact motor function of the lower extremity.
Pedal capillary refill time of 5 seconds.
Bounding dorsal pedal pulse.
Pallor to the lower extremity.
Numbness and tingling of the lower extremity.
Correct Answer : B,D,E
A. Intact motor function is not a sign of compartment syndrome. Motor deficits, rather than intact function, would raise concern for this condition.
B. A capillary refill time of 5 seconds is prolonged and indicates impaired circulation, which is a sign of compartment syndrome.
C. A bounding pulse is not consistent with compartment syndrome. Pulses may initially remain normal but can diminish as the condition progresses.
D. Pallor to the lower extremity suggests compromised blood flow, which is a hallmark of compartment syndrome.
E. Numbness and tingling (paresthesia) indicate nerve compression, a common symptom of compartment syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increase the intake of cranberry juice is not recommended for clients with calcium oxalate kidney stones. While cranberry juice can help prevent urinary tract infections, it does not reduce the risk of kidney stones and may even contribute to stone formation in some cases due to its high oxalate content.
B. Increase sodium chloride intake is not advisable for clients with kidney stones. High sodium intake can increase calcium excretion in the urine, which may contribute to stone formation.
C. Drinking 1 L of fluid every day is not sufficient. For clients with a history of calcium oxalate kidney stones, it is generally recommended to drink at least 2-3 L of fluid per day to help dilute urine and prevent stone formation.
D. Increase intake of animal protein is not recommended for clients with calcium oxalate kidney stones. High animal protein intake can increase the excretion of calcium and uric acid in the urine, which can promote stone formation.
Correct Answer is D
Explanation
A. Withholding medication for phantom limb pain is inappropriate. Phantom limb pain is a real phenomenon, and it should be managed with appropriate analgesics or other pain management strategies.
B. Keeping the residual limb elevated immediately after surgery is not recommended for prolonged periods as it can lead to contractures. The goal is to avoid excessive flexion at the hip and promote proper positioning.
C. Continuing to use the limb prosthesis when skin is irritated could worsen the irritation and cause skin breakdown. Proper skin care and regular monitoring are essential before using the prosthesis.
D. Laying prone for 30 minutes, 3-4 times a day is an appropriate intervention to prevent hip contractures and encourage proper alignment of the residual limb. This helps to maintain the flexibility of the hip joint and prepares the client for prosthetic fitting.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.